Dual functional genomics reveals a broad and convergent landscape of asciminib resistance in BCR::ABL1

Ivan Sokirniy, Zeyu Yang, Justin Pritchard · 2026

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Description

Ivan Sokirniy, Zeyu Yang and Justin Pritchard map, in a 2026 study, every escape route leukaemia cells find against the drug asciminib. The drug treats chronic myeloid leukaemia by gripping a side pocket on the BCR::ABL1 fusion protein. It dodges resistance to older drugs. Yet new resistance mutations keep appearing, and the full map was unknown.

Their two-stage genomics first scanned the whole protein with a base-editing screen to find resistance hotspots, then tested every possible amino-acid change inside them. A further screen layered mutations onto cells already carrying a classic resistance change, exposing interactions between mutations. The screens found 279 resistance changes spread broadly across the protein. A fluorescent sensor measured the protein's shape in living cells to connect form with drug response.

Catalog record

CREATORIvan Sokirniy, Zeyu Yang, Justin Pritchard
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE78524
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13422289

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